Kerry Elaine Bussoletti, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA054014 Issued in PA

Practice address

2 W Crescent Park
Warren, PA 16365-2111

Phone

(814) 723-2510

Fax

(814) 723-4654

NPI assigned

Sep 21, 2009

Last updated

Jun 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kerry Elaine Saline Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
  • NPI 1407199227
  NPD (past)
• Warren General Hospital

  dba d/b/a Warren Medical Group

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1033443205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-2510",
            "fax_number": "814-723-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-2510",
            "fax_number": "814-723-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSOLETTI",
        "first_name": "KERRY",
        "middle_name": "ELAINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "SALINE",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carley Brown
• Building Bridges Behavioral Health Services
• Lauren Bulicz
• Daniel A Burns, MD
• Gail Denise Burns, D.M.D.
• Margot B Butler, M.D.
• Michael G Cameron, RPH
• Kristen G Campbell, LCSW
• Cristeanna Carberry, PT, DPT
• Jacqueline Caringola, O.D.

• Physician Assistant in Warren, PA
• Providers in Warren, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.